Harbin medical insurance delay input new regulations adjust the location and management proce 追踪309

Harbin medical insurance new regulations   input delay; adjust the handling location and handling process — Heilongjiang channel — people.com.cn 29, reporters from the Harbin medical insurance management center was informed that the settlement of medical treatment, for the convenience of the insured, to ensure that patients can enjoy medical insurance benefits, decided to place the Harbin Urban Basic medical insurance business and makeup delay process managers make adjustments, in October 1st started the new regulations. Adjust the place of handling. The medical insurance by the municipal agencies for admission fee, failed to timely settlement, health insurance card is lost, damaged or failed to handle the new insured insurance cards and other special circumstances, not in 24 hours (holidays) delay entry of the Medicare system makeup business, adjusted to by the designated medical institutions for medical insurance office responsible for audit handle. Adjust the process of handling. (a) any of the following circumstances, holding the relevant requirements, within three working days to apply for admission to hospital inpatient department makeup procedures: 1, because of arrears lead to timely input health care system of the insured, to fill the bill and bank payment receipt for admission, 2 makeup procedures directly; for failing to timely settlement, lead to the entry health care system of the insured, can directly apply for admission to discharge settlement single makeup procedures. (two) the following conditions required by the designated medical institutions medical insurance office investigation confirmed after verification, in seven working days, the medical insurance office issued by the investigation and verification of makeup notice to the hospital for hospital admission at the hospital: 1, because the insurance card is lost, broken up card, and lead to the entry of the Medicare system the insured, carrying replacement card payment notice and the new Medicare card to the hospital medical insurance office to apply makeup procedures; 2, because of the new insurance (including newborns) and failed to make health insurance can not be timely entry card to the insured medical insurance system, with the temporary card to the hospital medical insurance office to apply makeup procedures; 3, because of arrears of more than three a day without timely input health care system of the insured, with fee notice and bank payment receipt to the hospital medical insurance office to apply makeup procedures; 4, for more than three working days failed to timely settlement A timely entry health care system of the insured, with single discharge settlement to the hospital medical insurance office to apply makeup procedures. (reporter Li Jian) (commissioning editor Zou Hui and Ding Yang) 哈尔滨医保延时录入出新规 调整经办地点及经办流程–黑龙江频道–人民网 29日,记者从哈尔滨市医疗保险管理中心获悉,为方便参保人员就医、结算,确保患者及时享受医疗保险待遇,决定对哈市城镇基本医疗保险延时补录业务的经办地点及经办流程做出调整,10月1日起新规开始执行。 调整经办地点。将原由市医疗保险经办机构办理的因入院时欠费、未能及时结算、医保卡丢失、破损或新参保人员未能及时办理医保卡等特殊情况,无法于24小时内(节假日顺延)录入医保系统的延时补录业务,调整至由各定点医疗机构医保办负责审核办理。 调整经办流程。(一)下列情况,持相关要件,于三个工作日内直接到医院住院处办理入院补录手续:1、因欠费导致无法及时录入医保系统的参保人员,持补费通知单和银行缴费收据直接办理入院补录手续;2、因未能及时结算,导致无法录入医保系统的参保人员,可持出院结算单直接办理入院补录手续。 (二)下列情况,需经定点医疗机构医保办调查核实确认后,可于七个工作日内,持医保办出具的调查核实补录通知单到医院住院处办理入院手续:1、因医保卡丢失、破损后补卡,导致无法及时录入医保系统的参保人员,携补换卡缴费通知单和新医保卡到医院医保办办理补录手续;2、因新参保(含新生儿)而未能及时制作医保卡导致无法及时录入医保系统的参保人员,携临时卡到医院医保办办理补录手续;3、因欠费超过三个工作日没有及时录入医保系统的参保人员,携补费通知单和银行缴费收据到医院医保办办理补录手续;4、因未能及时结算超过三个工作日没有及时录入医保系统的参保人员,携出院结算单到医院医保办办理补录手续。(记者李健) (责编:邹慧、丁洋)相关的主题文章: